The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Intussusception Induced by Cecal Metastasis of Primary Small Cell Lung Cancer

장중첩증을 동반한 소세포폐암의 맹장 전이

  • Sun, Der Sheng (Department of Internal Medicine, Cheongju St. Mary's Hospital) ;
  • Lee, Hyewon (Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • Lee, Joune Seup (Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • Yang, Yeo Ree (Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Chi Hong (Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • Shim, Byoung Young (Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Hoon Kyo (Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine)
  • 손덕승 (청주성모병원 내과) ;
  • 이혜원 (가톨릭대학교 의과대학 성빈센트병원 내과) ;
  • 이준섭 (가톨릭대학교 의과대학 성빈센트병원 내과) ;
  • 양여리 (가톨릭대학교 의과대학 성빈센트병원 내과) ;
  • 김치홍 (가톨릭대학교 의과대학 성빈센트병원 내과) ;
  • 심병용 (가톨릭대학교 의과대학 성빈센트병원 내과) ;
  • 김훈교 (가톨릭대학교 의과대학 성빈센트병원 내과)
  • Received : 2013.02.01
  • Accepted : 2013.02.12
  • Published : 2013.08.01
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Abstract

Large bowel metastasis from a primary lung cancer is rare and is hard to be asymptomatic. We report a case of intussusception without any symptoms caused by cecal metastasis of primary small cell lung cancer. A 70-year-old woman was admitted to hospital with cough and sputum of 3 weeks' duration. She was diagnosed with small cell lung cancer based on percutaneous needle biopsy of a lung mass identified by chest CT. In abdominal CT, multiple metastatic lesions were detected in the left adrenal gland and cecum with intussusception. After further colonoscopy and biopsy evaluations, the pathology results showed metastatic cancer originating from small cell cancer of the lung.

본 증례에서 저자들은 맹장 전이로 인해 장중첩증을 동반한 확장기 소세포폐암 환자에 대해 표준 항암화학치료를 통하여 합병증 없이 부분 반응을 보인 사례를 국내에서 경험 하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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